Cystitis yog ib qho kab mob sib kis, rau kev kho mob uas siv tshuaj kho mob, feem ntau yog siv tshuaj tua kab mob. Kev kho mob ntawm cov neeg mob me nrog cov tshuaj uas inhibit qhov kev loj hlob ntawm cov cell nyob yog ua tib zoo ua tib zoo. Cov tshuaj tua kab mob dab tsi rau cystitis hauv cov menyuam yaus yog qhov nyab xeeb tshaj plaws, tus kws kho menyuam yaus txiav txim siab. Tsuas yog nws thiaj tuaj yeem sau tshuaj uas yuav tshem tawm tus kab mob me me lossis tsis muaj kev phom sij rau tus menyuam lub cev.
Txoj kev ntawm cov kab mob cystitis hauv cov menyuam yaus
Cystitis yog ib qho kab mob uas tshwm sim los ntawm kev mob ntawm cov mucosa thiab submucosal txheej ntawm lub zais zis. Tus kab mob no yog ib qho ntawm cov kab mob urological ntau tshaj plaws hauv cov menyuam yaus thiab kev coj ua hauv urological. Kev mob ntawm cov phab ntsa ntawm lub ureter yog kuaj pom hauv cov menyuam yaus ntawm cov hnub nyoog sib txawv thiab poj niam txiv neej. Txawm li cas los xij, ntau zaus pathology tshwm sim hauv cov ntxhais hnub nyoog 4 txog 12 xyoo. Yog vim li cas rau qhov no yog lub anatomicalnta ntawm poj niam tso zis.
Hauv cov menyuam yaus, tus neeg sawv cev ntawm tus kabmob kis tau ntau dua Escherichia coli, tsawg dua Staphylococcus epidermidis, Klebsiella, Proteus, Pseudomonas aeruginosa. Hauv 25% ntawm cov neeg mob, tus neeg sawv cev tseem ceeb tsis raug kuaj pom. Lub luag haujlwm ntawm cov kab mob ua rau cystitis hauv cov menyuam yaus tsis nkag siab tag nrho. Nws tau pom tias adenoviruses, tus kab mob herpes simplex ua rau muaj kev cuam tshuam ntawm microcirculation hauv lub zais zis thiab tsim kom muaj ib qho chaw zoo rau kev txhim kho cov kab mob inflammatory txheej txheem.
Thaum bakposev tso zis nrog o ntawm urea hauv cov menyuam yaus, qee zaum kuaj pom chlamydia, ureaplasma. Raws li txoj cai, kev kis kab mob zoo li no tshwm sim los ntawm cov niam txiv muaj mob yog tias tsis saib xyuas kev nyiam huv (siv cov ntaub ntxhua khaub ncaws, phuam da dej). Qhov laj thawj tseem ceeb ntawm cov kab mob cystitis hauv cov menyuam yaus yog kev kho tshuaj tua kab mob ntev heev.
Tus kab mob tuaj yeem nkag mus los ntawm kev nqis los, nce mus, lymphogenous, hematogenous lossis kev sib cuag.
Txoj kev kho cystitis thaum yau
Cystitis hauv cov menyuam yaus loj hlob sai thiab ua tau sai heev. Cov tsos mob tseem ceeb yog qhov xav tso zis, uas tshwm sim txhua 20 feeb. Cov menyuam yaus quaj thiab ua rau ntawm qhov mob hauv plab. Tab sis ua tsaug rau cov tsos mob zoo li no, cov niam txiv kawm paub txog qhov muaj cov kab mob pathology ntawm nws thawj theem, uas ua rau muaj kev pheej hmoo ntawm kev pom zoo.
Tus kws kho mob menyuam yaus, tom qab ntsuas ntsuas, sau tshuaj kho, uas suav nrog cov hauv qab no:
- puag so tsis muaj kev ua si.
- QhiaKev sov so hauv lub zais zis, cov me nyuam me (hnub nyoog qis dua 3 xyoos) tau qhwv hauv daim pam.
- Nqaij-neeg tsis noj nqaij noj, haus dej ntau ntxiv.
- Papaverine yog tshuaj los txo qhov mob.
- Kev siv cov tshuaj tua kab mob yog lub hauv paus ntawm kev kho mob. Nrog kev pab ntawm cov tshuaj, tus neeg sawv cev ntawm tus kab mob yog tshem tawm. Cov tshuaj tua kab mob twg los sau rau cystitis hauv cov menyuam yaus yog txiav txim los ntawm tus kws kho mob raws li hom kab mob, kab mob pathology, thiab hnub nyoog ntawm tus menyuam.
Txhim kho qhov tshwm sim, kev kho lub cev yog ua tiav.
Cov hauv paus ntsiab lus ntawm kev kho tshuaj tua kab mob hauv cov menyuam yaus
Kev kho mob cystitis hauv cov menyuam yaus feem ntau yog ua los ntawm tus neeg mob sab nraud. Tus menyuam tsis nyob hauv kev saib xyuas ib puag ncig, yog li cov tshuaj yuav tsum tau ua tib zoo siv. Thaum xaiv cov tshuaj, tus kws kho menyuam yaus yuav tsum ua raws li cov hauv qab no:
- Cov txiaj ntsig ntawm kev xeem. Tus neeg sawv cev raug xaiv nyob ntawm tus kab mob ua rau tus kab mob, nws tiv thaiv qee yam tshuaj tua kab mob.
- Contraindications. Yog hais tias cov tshuaj tua kab mob yog contraindicated rau ib tug me nyuam, ces cov kev kho mob tactics yuav hloov.
- Hnub nyoog ntawm tus neeg mob. Cov cuab yeej raug xaiv raws li tus naj npawb ntawm cov menyuam yaus xyoo. Thaum xam qhov ntau npaum ntawm cov tshuaj tua kab mob rau cystitis nyob rau hauv cov me nyuam hnub nyoog 6 xyoo, tsuas yog lub hnub nyoog yog coj mus rau hauv tus account. Thiab yog tias cov tshuaj tau muab rau tus menyuam hnub nyoog 3 xyoos, ces qhov koob tshuaj yog xam raws li lub cev hnyav.
- Thaum xaiv cov tshuaj tua kab mob, nws yuav tsum coj mus rau hauv tus account seb cov tshuaj twg tus menyuam tau txais hauv 2-3 lub hlis dhau los. Thaum muab cov tshuaj tib yam tshuaj rau lub sijhawm luv luv, qhov kev pheej hmoo ntawm kev txo qis ntawm cov kab mob pathogenic microflora nce ntxiv.
Tshuaj tua kab mob rau cystitis hauv menyuam yaus: daim ntawv teev tshuaj
Ntau hom tshuaj sib txawv uas cuam tshuam kev loj hlob ntawm cov hlwb muaj sia nyob tau nthuav tawm ntawm lub khw muag tshuaj. Txij li thaum tsis ntev los no, tau hloov kho rau Lavxias txoj cai lij choj hais txog kev xa cov tshuaj ntawm cov khw muag tshuaj. Cov tshuaj tua kab mob rau cov menyuam yaus tsuas yog muag raws li daim ntawv tshuaj. Cov niam txiv yuav tsum muab lub tsev muag tshuaj nrog daim ntawv teem sijhawm los ntawm tus kws kho menyuam yaus nrog nws kos npe thiab foob.
Cov tshuaj tua kab mob ntau tshaj plaws rau cystitis hauv cov menyuam yaus:
- Penicillins yog ib pawg ntawm cov khoom sib xyaw ua ke uas tsim los ntawm ntau hom pwm Penicillium thiab ntau cov khoom siv hluavtaws. Cov tshuaj muaj zog tiv thaiv ntau cov kab mob gram-zoo, nrog rau meningococci, spirochetes. Nyob rau hauv thaum yau, Amoxiclav raug tshuaj (txog 6 xyoo nws raug pom zoo kom siv ncua kev kawm), Augmentin, Ecoclave, Fibell.
- Macrolides yog cov tshuaj tua kab mob uas muaj zog tiv thaiv kab mob gram-zoo cocci, mycoplasma, ureaplasma, chlamydia. Ntxiv nrog rau cov tshuaj tua kab mob, pawg tshuaj no muaj cov tshuaj tiv thaiv kab mob thiab tiv thaiv kab mob. Rau cystitis, "Sumamed forte", "Hemomycin" yog siv.
- YCephalosporins. Cov tshuaj muaj bactericidal siab, chemotherapeutic kev ua si, tsis kam. Cov menyuam yaus raug muab tshuaj II thiab III tiam cephalosporins, lawv muaj ntau yam kev ua thiab muaj kev phiv tsawg dua. Cov no suav nrog: "Zinnat", "Taracef", "Cedex", "Supraks", "Cefaclor".
- Derivatives ntawm phosphonic acid. Lawv muaj cov nyhuv bactericidal, txhim khu cov nyhuv ntawm qee cov tshuaj tua kab mob. Yeej, cov kws kho menyuam yaus xaiv "Fosfomycin", "Monural".
Yuav tshuaj tua kab mob dab tsi rau cystitis hauv cov menyuam yaus preschool
Thaum sau tshuaj, muaj hnub nyoog hais txog contraindications thiab kev txwv ntawm cov tshuaj yuav tsum tau muab rau hauv tus account. Thaum tsim tsa lawv, cov yam ntxwv ntawm lub cev ntawm lub hnub nyoog yog cov lus qhia.
Rau cystitis, tus menyuam hnub nyoog 5 xyoos tau muab tshuaj tua kab mob tib yam li menyuam yaus hnub nyoog 3 lossis 4 xyoos. Hauv cov menyuam yaus txij li 3 xyoos, thaum sau tshuaj, qhov hnyav tseem ceeb. Cov lus qhia rau cov tshuaj yog kev tawm tswv yim, qhov tsim nyog ntawm kev siv cov tshuaj yog txiav txim los ntawm tus kws kho mob.
Ib tug menyuam lub cev tiv thaiv kab mob tsis zoo, cov kab mob loj hlob sai heev. Qee zaum, nws tsim nyog tsis quav ntsej cov chaw tsim khoom cov lus pom zoo thiab muab cov tshuaj tua kab mob rau tus menyuam "tawm ntawm hnub nyoog". Tsis kho cystitis yav tom ntej yuav ua rau lwm yam kab mob loj ntawm cov kab mob urinary lossis ua tsis taus ntawm cov kab mob hauv lub cev.
Ntse thiab cov txiaj ntsig ntawm penicillins
Kev siv tshuaj tua kab mob ntawm pab pawg penicillin hauv cov menyuam yaus hnub nyoog 4 xyoos nrog cystitis yog suav tias yog qhov nyab xeeb tshaj yog tias tsis muaj contraindications. Cov tshuaj no tau siv ntev, tab sis tus kws kho mob yuav nyiam cov tshuaj penicillins. Qhov no yog vim qhov tseeb tias lawv muaj ntau qhov zoo:
- Cov tshuaj tua kab mob no suav nrog cov tshuaj lom neeg, yog li lawv muaj toxicity tsawg.
- Penicillins yog cov tshuaj tua kab mob pioneering. Yuav luag ib puas xyoo ntawm lawv cov keeb kwm, lawv tau kawm zoo, ntau cov kev tshawb fawb soj ntsuam tau ua, nrog rau lawv cov kev cuam tshuam rau cov me nyuam lub cev.
- Tshuaj muaj ntau ntau npaum li cas. Tus cwj pwm no tseem ceeb heev yog tias cov tshuaj tau sau thawj zaug, uas feem ntau tshwm sim thaum menyuam yaus.
- Ntau cov tshuaj penicillins tau pom zoo siv thaum ntxov.
YCephalosporins
Cephalosporins muaj qhov ua haujlwm ntau dua li penicillins. Lawv kuj feem ntau raug tshuaj los ntawm kws kho mob. Cov niam txiv muaj lus nug: Puas yog kev siv tshuaj tua kab mob ntawm pawg cephalosporin hauv cov menyuam yaus hnub nyoog 4 xyoos nrog cystitis?
Hauv cov neeg mob hluas, kev kho yog ua nrog cephalosporins ntawm tiam tshiab. Lawv nquag tawm tsam ntau tus kab mob pathogenic. Yog hais tias, ntxiv rau cystitis, tus me nyuam kuj muaj kab mob, ces cov tshuaj kuj kho tau lawv. Qhov no ua rau nws muaj peev xwm zam tau lwm txoj kev kho tshuaj tua kab mob.
Kev siv cov macrolides hauv menyuam yaus
Macrolides yog suav tias yog ib qho tshuaj tua kab mob tsawg tshaj plaws. Thaum siv lawv, tsis muaj cov tsos mob ntawm nephrotoxicity, kev loj hlob ntawm arthropathy, tshuaj lom los ntawm lub hauv nruab nrab paj hlwb raug kuaj pom. Thiab qhov tshwm sim ntawm kev tsis haum tshuaj thiab tshuaj tua kab mob raws plab yog qhov tsawg. Nws ntseeg tau tias kev teem sijhawm ntawm cov tshuaj tua kab mob rau cystitis hauv tus menyuam hnub nyoog 3 xyoos thiab tseem hluas yog qhov nyab xeeb heev.
Cov tshuaj uas tau sau ntau tshaj plaws yog:
- "Hemomycin". Rau cov menyuam yaus, hmoov yog siv los npaj kev ncua; nws raug tso cai siv los ntawm 6 lub hlis. Qhov ntau npaum yog xam ib leeg nyob ntawm qhov hnyav ntawm tus menyuam. Lub sijhawm siv yog txiav txim los ntawm tus kws kho mob. Thov nco ntsoov tias qhov kev tshem tawm tiav yog khaws cia rau 5 hnub, koj tsis tuaj yeem siv cov tshuaj tom qab lub sijhawm no, txawm tias kev kho tsis tiav thiab qhov kev ncua tseem tshuav.
- "Sumamed forte". Siv tau rau staphylococci, pawg A, B, C, G streptococci, Haemophilus influenzae. Cov tshuaj tau pom zoo siv los ntawm 6 lub hlis thiab hnyav 10 kg. "Sumamed forte" yog muag nyob rau hauv daim ntawv ntawm ib tug hmoov, los ntawm uas ib tug ncua kev kawm ntawv yog npaj. Cov tshuaj tiav lawm muaj ob peb flavors: strawberry, raspberry, txiv tsawb. Feem ntau cov menyuam txaus siab txais cov tshuaj no. Lub neej txee ntawm cov khoom tiav yog 10 hnub.
Txoj kev cuam tshuam ntawm kev kho tshuaj tua kab mob
Raws li koj paub, tshuaj tua kab mob tua tsis tau tsuas yog tsim kev puas tsuaj, tab sis kuj muaj cov kab mob zoo. Tus me nyuam lub cev ua rau mob hnyav tshaj plaws rau cov tshuaj uas inhibit qhov kev loj hlob ntawm cov hlwb nyob.
Kev siv tshuaj tua kab mob rau cov cystitis hauv cov menyuam yaus yuav tsum tau nrog kev siv cov tshuaj uas rov ua kom lub plab zom mov. Feem ntau, tus kws kho mob sau tshuaj Linex, Acipol, Bifidumbacterin. Probiotics yuav tsum tau muab rau tus menyuam txij li thawj hnub ntawm kev noj tshuaj tua kab mob.
Lwm qhov kev mob tshwm sim ntawm cov tshuaj tua kab mob yog kev ua xua. Txhawm rau zam nws, cov menyuam yaus raug tshuaj antihistamines "Zodak", "Zirtek". Tab sis txawm nrog lawv siv, tus me nyuam yuav tsum tau kuaj xyuaspom muaj kev tsis haum tshuaj (hyperemia, daim tawv nqaij ua pob liab liab).
Puas yog mob zais zis puas kho tau lwm txoj hau kev?
Txawm hais tias muaj kev nyab xeeb tshuaj tua kab mob siv rau cov menyuam yaus uas muaj cystitis, qee cov niam txiv tawv tawv tsis kam siv. Kev siv cov zaub mov pej xeem txo cov tsos mob thiab poob tawm tus kab mob, uas ua rau nws mob ntev.
Kev siv cov da dej sitz nrog decoctions ntawm tshuaj ntsuab tsuas yog ua tau ntxiv rau kev kho lub ntsiab. Tab sis txhua txoj hauv kev yuav tsum tau pom zoo nrog tus kws kho mob ua ntej lawv siv.
Kev kho rau cystitis suav nrog kev kho lub cev, tab sis lawv feem ntau yog muab tshuaj tom qab tus kab mob no tau raug tshem tawm. Cov menyuam yaus tau pom electrophoresis, kho microwave, magnetotherapy ntawm thaj chaw suprapubic.
Kev tiv thaiv kab mob zais zis
Yuav kom tsis txhob xav tias cov tshuaj tua kab mob twg hauv cov menyuam yaus uas muaj cystitis yog suav tias muaj kev nyab xeeb tshaj plaws, txhua yam kev ntsuas yuav tsum tau coj los tiv thaiv tus kabmob. Txhawm rau ua qhov no, koj yuav tsum ua raws li cov cai yooj yim:
- Kev huv ntawm qhov chaw mos.
- Nco ntsoov tias tus menyuam mus rau chav dej tsis tu ncua, tsis ncua.
- Kho txhua yam kab mob sai thiab meej.
- Kev tiv thaiv helminthiasis tsis tu ncua.
- Ua kom koj tus menyuam haus dej txaus.
- No hypothermia.
Zoo kawg
Cystitis yog ib qho kab mob uas yuav tsum tau siv tshuaj tua kab mob los kho. Niaj hnubCov tshuaj tsis muaj tshuaj lom thiab siv tau txawm tias thaum muaj hnub nyoog ntxov. Qhov tseem ceeb yog ua tib zoo saib xyuas tus menyuam lub sijhawm kho thiab, yog tias muaj cov tsos mob txawv txawv, nrhiav kev qhia ntawm tus kws kho menyuam yaus.